StatPearls - Random Questions and Answers

StatPearls - Random Questions and Answers A 25-year-old woman presents to her provider complaining of painful micturition and increased frequency of micturition for the last 5 days. On examination, her BP is 119/78 mm Hg, pulse is 74 bpm, temperature is 37.1 C, respiratory rate is 16/min. Her last menstrual period was two weeks ago, and she is using combined oral contraceptive pills for family planning over the last two years. She is fit and healthy, with no medical problems. She smokes a pack of cigarettes per day for the last 5 years. She does not drink alcohol and denies any illicit drug use. Which of the following imaging studies is required in this patient? 1. Ultrasound 2. Intravenous pyelogram 3. CT scan 4. No imaging is needed ANSWER No Imaging is needed The vast majority of patients with uncomplicated urinary tract infections do not need any radiological study. This patient presents with an uncomplicated urinary tract infection with no signs of acute pyelonephritis. Therefore, imaging studies are not indicated in her case. CT scan without contrast is the treatment of choice to identify renal stones. An ultrasound may be obtained to exclude hydronephrosis without radiation exposure. Pelvic ultrasound may be indicated in a patient suspected of having a pelvic pathology. Pelvic ultrasound is best performed on a full bladder. Do not have patients void before the test.